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Organization
LONG MEDICAL LLC
Active
Organization
LONG MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANZEELA KHAN (MD)
(305) 702-9441
Entity
Organization
Contact information
Practice address
1172 FALLS BLVD, WESTON, FL 33327-1722
(305) 702-9441
(305) 702-9442
Mailing address
1172 FALLS BLVD, WESTON, FL 33327-1722
(305) 702-9441
(305) 702-9442
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 116720
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009468100
—
FL
Enumeration date
06/16/2014
Last updated
06/16/2014
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